Tag Archives: Imaging
Chest computed tomography showing consolidation in lower lobe of right lung.

Connecting the Dots—Acute Abdomen, ST Elevation, and a Consolidating Lung Mass

Community-acquired pneumonia (CAP) is a commonly treated disease and yet may present in unfamiliar ways that if missed may result in unnecessary testing, procedures, and potential harm. Case We present a 38-year-old male with no prior medical history who presented with 3 days of severe, cramping lower abdominal pain. This was intermittent, non-radiating, and exacerbated […]

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(A) Ultrasonography of the abdomen. Intra-abdominal pancreatic cyst (7 × 8 cm) with echogenic debris. (B) Axial; (C) Sagittal images: contrast-enhanced computed tomography. Complicated pseudocyst, compression of the common bile duct, and dilated biliary tracts.

Fulminant Emphysematous Pancreatic Pseudocyst: Infected with Normal Skin Flora

A 49-year-old man was alcoholic and had major depressive disorder. He experienced epigastric pain, poor appetite, and weight loss for 1 month. Ultrasonography of the abdomen revealed a pancreatic cyst (7 × 8 cm) with echogenic debris (Figure 1A). Contrast-enhanced computed tomography (CT) of the abdomen showed a complicated pancreatic pseudocyst (Figure 1B), compressed common bile duct, […]

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Complicated Necrotizing Otitis Externa Progressing to Coalescent Mastoiditis and Temporal Lobe Abscess

A 77-year-old man with a history of hypertension, chronic kidney disease, and poorly controlled type 2 diabetes mellitus presented to our intensive care unit from an outside hospital with complicated necrotizing otitis externa. One month prior, the patient developed purulent drainage from the right external auditory canal with associated hearing loss. One week prior, he […]

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Magnetic resonance cholangiopancreatography demonstrating small filling defects in the distal common bile duct.

A Simpler Answer – After All This Time

There is an allure associated with a rare diagnosis. Diagnosis momentum refers to the “stickiness” of a diagnosis once it is attached to the patient,1 and is one example of a cognitive bias that can lead to diagnostic errors. This can lead to misattribution of symptoms to a patient’s existing (even incorrect) diagnosis if clinicians do […]

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Brainstem miliary pattern on admission.

CLIPPERS: An Increasingly Recognized Chronic Inflammatory Central Nervous System Disorder

Chronic Lymphocytic Inflammation with Pontine Perivascular Enhancement Responsive to Steroids (CLIPPERS) is a rare chronic inflammatory neurological syndrome affecting multiple regions of the brain, including brainstem, cerebellum, and spinal cord, that has become increasingly recognized since its introduction in 2010 by Pittock et al.1 The hallmark neuroimaging finding for CLIPPERS consists of multiple punctate, curvilinear lesions, […]

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Computed tomography of the neck.

An Overlooked Cause of Polyuria

A 40-year-old woman presented to the Outpatient Department with complaints of frequent urination and excessive thirst for 3 months. She was passing large volumes of urine throughout the day and night, but she denied dysuria, urgency, or hesitancy. She used to consume 2 cups of tea in a day. Twenty-four-hour urine output was 6 L, […]

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